Matthew L. Carroll, P.A.
Physician Assistant in Germantown, TN. Individual provider (NPI-1).
NPI number1346595014
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1346595014
- Entity type
- Individual (NPI-1)
- Name
- Mr. Matthew L. Carroll
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2012
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 3366 | TN | Yes |
| 363A00000X | Physician Assistant | MPA.1778.TL | SC | |
| 363A00000X | Physician Assistant | PA180137 | OR | |
| 363A00000X | Physician Assistant | PA00386 | MS | |
| 363A00000X | Physician Assistant | 3336 | TN | |
| 363A00000X | Physician Assistant | 200682 | LA |
Practice location
1400 S Germantown RdGermantown, TN 38138-2205
Phone 901-759-3100 · Fax 901-759-3196
Mailing address
1400 S Germantown RdGermantown, TN 38138-2205
Phone 901-759-3100 · Fax 901-759-3196
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 39 Physician Assistant providers in Germantown · All 2,068 providers in Germantown
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